Lupus & antiphospholipid syndrome

Function of follicular helper 17 T cells in driving B cells for anti-DNA autoantibody production in patients with SLE

Lupus Sci MedPublished Mechanistic study

Authors' conclusion

cTFH17 cells were significantly expanded and activated in subjects with active SLE, showing a positive correlation with clinical activity. Functionally, cTFH17-B cell interactions enhanced plasma cell generation and autoantibody production.

Study context

Population
Subjects with SLE
Participants
40 subjects
Comparison
SLE vs healthy controls
  • SLEn = 40
Outcome
cTFH17 cells: frequency, activation and function in SLE
Methodological detailsflow cytometry, co-culture assays
  • Flow cytometry
  • Co-culture assays

Main finding

As reported in the abstract

  • Circulating TFH17 (cTFH17) and cTFH17.1 frequencies significantly elevated in SLE vs healthy controls, particularly in active disease
  • Increased activation (ICOS and CD40L expression)
  • Activated cTFH17 or cTFH17.1 frequency correlated positively with SLEDAI-2K scores but not with anti-dsDNA levels
  • IL-6, IL-8 and IL-17A elevated in SLE; not correlated with cTFH17 frequency nor SLEDAI-2K
  • In cTFH17-B cell co-cultures, cTFH17 cells proliferated and were activated; B cells differentiated into antibody-secreting cells secreting anti-DNA autoantibodies

Original publication

Function of follicular helper 17 T cells in driving B cells for anti-DNA autoantibody production in patients with SLE. Lupus Sci Med. Published 17 December 2025. doi:10.1136/lupus-2025-001814

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